Individual
MAUREEN L WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-1761
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU852
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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